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Venous-arterial (VA)
What are the two most common forms of ECMO?
Venous-venous (VV)
1) birth weight < 2 kg
2) born at 34 weeks or greater
3) reversible lung disease
4) no uncontrolled bleeding
5) resp failure
What are the 11 indications for ECMO? 6) acidosis
7)PPHN
8)RDS
9) MAS
10) heart failure
11) maxed out conventional vent
1) Equipment Training
What 3 areas of training are covered for an RT to become
2) understanding diseases supported by ECMO
an ECMO specialist?
3) coagulation training
1) right side of heart to the lungs
2) lungs to the left side of the heart
What is the order of blood flow in order?
3) left side of heart to the body (CaO2)
4) body to the right side of the heart
To temporarily support cardiac and pulmonary function of
What is ECMO intended to be used for?
a pt who can't maintain adequate O2 delivery
What is blood flow regulated by in ECMO? Rate per minute (RPM)
What can cause a decrease in pump flow? A decrease in preload or increase in afterload
What is an essential additive to the bloodstream prior and
Anticoagulant, most commonly heparin
during cannulation?
1) anemia
What are some factors that can affect ACT? 2) hypothermia
3) thrombocytopenia
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